Individual
DR. KHALIDA M MAHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9107
(316) 689-9354
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-33778
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003719259
MEDICARE
—
05
—
200974390A
—
KS
Enumeration date
09/26/2007
Last updated
08/17/2015
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